,i  #aad? ,,congress  #a/ ,session  ,h4 
,r4 #bcfe  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #ae1 #bjae ,mr4  
,mill] ( ,florida introduc$ ! foll[+    
bill2 :i* 0 ref]r$ to ! ,committee on   
,vet]ans' ,affairs  ,a ,,bill  ,to      
au?orize ,dep>tm5t major m$ical facility
 con/ruction projects = fiscal ye>      
#bjae1 to am5d title #ch1 ,unit$ ,/ates 
,code1 to make c]ta9 improvem5ts 9 !    
adm9i/ration ( ,dep>tm5t m$ical facility
 con/ruction projects1 & = o!r purposes4
  #a4 ,%ort title ,?is ,act may be cit$ 
z ! ,con/ruction ,re=m1 ,au?orization1 &
 ,*oice ,improvem5t ,act ( #bjae4  #b4  
,dep>tm5t ( ,vet]ans ,affairs           
con/ruction re=ms  7a7 ,project         
managem5t ,section #hajc ( title #ch1   
,unit$ ,/ates ,code1 is am5d$ by add+ at
 ! end ! foll[+ new subsection3  7e7 ,9 
! case ( any sup] con/ruction project 7z
 su* t]m is def9$ 9 section             
#hajd7;a77#d77;,c771 ! ,secret>y %all   
ent] into an agreem5t ) an appropriate  
non-,dep>tm5t entity to provide full    

project managem5t s]vices = ! sup]      
con/ruction project4  4  7b7            
,application ( indu/ry /&>ds ,section   
#hajc ( title #ch1 ,unit$ ,/ates ,code1 
z am5d$ by subsection 7a7 is fur!r am5d$
 by add+ at ! end ! foll[+ new          
subsection3  7f7 ,to ! maximum ext5t    
practicable1 ! ,secret>y %all use       
indu/ry /&>ds1 /&>d designs1 & be/      
practices 9 c>ry+ out ! con/ruction (   
m$ical facilities4  4  7c7 ,limitation  
on plann+ & design = sup] con/ruction   
projects ,section #hajd7;a7 ( title #ch1
 ,unit$ ,/ates ,code1 is am5d$-- 7#a7 by
 r$esignat+ p>agraph 7#c7 z p>agraph    
7#d72  7#b7 by ins]t+ aft] p>agraph 7#b7
 ! foll[+ new p>agraph 7#c73  7#c7 ,!   
,secret>y may n obligate or exp5d funds 
= advance plann+ or design = any sup]   
con/ruction project1 until ! date t is  
#fj days aft] ! date on :i* ! ,secret>y 
submits to ! ,committee on ,vet]ans'    
,affairs & ! ,committee on              
,appropriations ( ! ,s5ate & !          
,committee on ,vet]ans' ,affairs & !    

,committee on ,appropriations ( ! ,h\se 
( ,repres5tatives notice ( su*          
obligation or exp5diture4  2 &  7#c7 9  
p>agraph 7#d71 z r$esignat$ by p>agraph 
7#a7 ( ?is subsection1 by add+ at ! end 
! foll[+ new subp>agraph3  7,c7 ,! t]m  
sup] con/ruction project means a project
 = ! con/ruction1 alt]ation1 or         
acquisition ( a m$ical facility involv+ 
a total exp5diture ( m ?an #ajj1jjj1jjj1
 b su* t]m does n include an acquisition
 by ex*ange4  4  7d7 ,congressional     
approval ( c]ta9 projects  7#a7         
,projects t exce$ specifi$ am\nt        
,subsection 7c7 ( section #hajd ( title 
#ch1 ,unit$ ,/ates ,code1 is am5d$ to   
read z foll[s3  7c7 ,! ,secret>y may n  
obligate funds = a major m$ical facility
 project or a sup] con/ruction project  
approv$ by a law describ$ 9 subsection  
7a77#b7 9 an am\nt t w\ld cause ! total 
am\nt obligat$ = t project to exce$ !   
am\nt specifi$ 9 ! law = t project 7or  
w\ld add to total obligations exce$+ su*
 specifi$ am\nt7 by m ?an #aj p]c5t     

unless ! ,committee on ,vet]ans'        
,affairs & ! ,committee on              
,appropriations ( ! ,s5ate & !          
,committee on ,vet]ans' ,affairs & !    
,committee on ,appropriations ( ! ,h\se 
( ,repres5tatives ea* approve 9 writ+ ! 
obligation ( ^? funds4  4  7#b7 ,use (  
extra am\nts ,subsection 7d7 ( su*      
section is am5d$-- 7,a7 9 p>agraph      
7#b77;,b71 9 ! matt] prec$+ clause 7i71 
by /rik+ ,:5ev] & ins]t+ ,be=e2 &  7,b7 
by add+ at ! end ! foll[+ new p>agraph3 
7#c7 ,! ,secret>y may n obligate any    
funds describ$ 9 p>agraph 7#a7 or am\nts
 describ$ 9 p>agraph 7#b7 be=e ! date t 
is #cj days aft] ! notification submitt$
 "u p>agraph 7#a7 or p>agraph 7#b77;,b71
 z ! case may be1 unless ! ,committee on
 ,vet]ans' ,affairs & ! ,committee on   
,appropriations ( ! ,s5ate & !          
,committee on ,vet]ans' ,affairs & !    
,committee on ,appropriations ( ! ,h\se 
( ,repres5tatives ea* approve 9 writ+ ! 
obligation ( ^? funds or am\nts4  4     
7#c7 ,notification requirem5ts  7,a7    

,committees requir$ ,subsection 7d77#a7 
( su* section is am5d$ by /rik+ ea*     
committee & ins]t+ ! ,committee on      
,vet]ans' ,affairs & ! ,committee on    
,appropriations ( ! ,s5ate & !          
,committee on ,vet]ans' ,affairs & !    
,committee on ,appropriations ( ! ,h\se 
( ,repres5tatives4  7,b7 ,use ( am\nts f
 bid sav+s ,subsection 7d77#b77;,b7 (   
su* section is am5d$ by add+ at ! end ! 
foll[+ new clause3  7iv7 ,) respect to !
 major con/ruction project t is ! s\rce 
( ! bid sav+s--  7,i7 ! am\nts already  
obligat$ or available 9 ! project res]ve
 = su* project2  7,,ii7 ! p]c5tage ( su*
 project t has be5 complet$2 &  7,,iii7 
! am\nt ( su* bid sav+s t is already    
obligat$ or o!rwise be+ us$ = a purpose 
o!r ?an su* project4  4  7e7 ,qu>t]ly   
report on sup] con/ruction projects     
7#a7 ,9 g5]al ,at ! end ( sub*apt] ,i ( 
*apt] #ha ( title #ch1 ,unit$ ,/ates    
,code1 ins]t ! foll[+ new section3      
#habj4 ,qu>t]ly report on sup]          
con/ruction projects  7a7 ,qu>t]ly      

reports requir$ ,n lat] ?an #cj days    
aft] ! la/ day ( ea* fiscal qu>t] !     
,secret>y %all submit to ! ,committees  
on ,vet]ans' ,affairs ( ! ,s5ate & ,h\se
 ( ,repres5tatives on ! sup] con/ruction
 projects c>ri$ out by ! ,secret>y dur+ 
su* qu>t]4 ,ea* su* report %all include1
 = ea* su* project--  7#a7 ! budget>y & 
s*$ul+ /atus ( ! project1 z ( ! la/ day 
( ! qu>t] cov]$ by ! report2 &  7#b7 !  
actual co/ & s*$ule v>iances ( !        
project1 z ( su* day1 comp>$ to ! plann$
 co/ & s*$ules = ! project4  7b7 ,sup]  
con/ruction project def9$ ,9 ?is        
section1 ! t]m sup] con/ruction project 
has ! mean+ giv5 su* t]m 9 section      
#hajc7;a77#d77;,c7 ( ?is title4  4  7#b7
 ,cl]ical am5dm5t ,! table ( sections at
 ! beg9n+ ( ! *apt] is am5d$ by add+ at 
! end ( ! items relat+ to su* sub*apt] !
 foll[+ new item3  #habj4 ,qu>t]ly      
report on sup] con/ruction projects4  4 
7f7 ,accel]at$ ma/] plann+ = ea* m$ical 
facility ( ! dep>tm5t ( vet]ans affairs 
7#a7 ,exi/+ facilities ,n lat] ?an      

,decemb] #ca1 #bjaf1 ! ,secret>y (      
,vet]ans ,affairs %all complete a ma/]  
plan describ$ 9 p>agraph 7#c7 = ea*     
m$ical facility ( ! ,dep>tm5t ( ,vet]ans
 ,affairs4  7#b7 ,new facilities ,= ea* 
m$ical facility ( ! ,dep>tm5t = :i*     
con/ruction is complet$ aft] ! date ( ! 
enactm5t ( ?is ,act1 ! ,secret>y %all   
complete a ma/] plan describ$ 9 p>agraph
 7#c7 = ! facility by n lat] ?an ! e>li]
 ( ! foll[+ dates3  7,a7 ,! date on :i* 
activation is complet$4  7,b7 ,! date ( 
! =mal d$ication ( ! facility4  7#c7    
,ma/] plan describ$ ,a ma/] plan        
describ$ 9 ?is p>agraph is1 ) respect to
 a m$ical facility ( ! ,dep>tm5t1 a plan
 to in=m inve/m5t decisions & fund+     
reque/s ov] a #aj-ye> p]iod =           
con/ruction projects at su* m$ical      
facility--  7,a7 to meet ! heal? c>e    
ne$s ( a *ang+ vet]an population ?r\gh a
 comb9ation ( heal? c>e f ! ,dep>tm5t & 
o!r community res\rces2 &  7,b7 to      
maximize ! be/ use ( ! l& & /ructures   
compris+ su* m$ical facility4  #c4      

,cl>ification ( di/ance requirem5t =    
exp&$ availability ( hospital c>e &     
m$ical s]vices = vet]ans ?r\gh ! use (  
agreem5ts ) non-,dep>tm5t ( ,vet]ans    
,affairs entities  7a7 ,9 g5]al ,section
 #aja7;b77#b7 ( ! ,vet]ans ,access1     
,*oice1 & ,acc\ntability ,act ( #bjad   
7,public ,law #aac-adf2 #ch ,u4,s4,c4   
#agja note7 is am5d$--  7#a7 9          
subp>agraph 7,b71 by ins]t+ 7z calculat$
 bas$ on di/ance travel$7 aft] #dj      
miles2 &  7#b7 9 subp>agraph 7,d77ii71  
by /rik+ subclause 7,,ii71 & ins]t+ !   
foll[+ new subclause 7,,ii73  7,,ii7    
faces an unusual or excessive burd5 9   
travel+ to su* a m$ical facility ( !    
,dep>tm5t bas$ on--  7aa7 geographical  
*all5ges2  7bb7 environm5tal factors1   
su* z roads t are n accessible to !     
g5]al public1 traffic1 or haz>d\s wea!r2
  7cc7 a m$ical condition t impacts !   
ability to travel2 or  7dd7 o!r factors1
 z det]m9$ by ! ,secret>y4  4  7b7      
,effective date ,! am5dm5ts made by     
subsection 7a7 %all take effect on !    

date ( ! enactm5t ( ?is ,act & apply )  
respect to c>e or s]vices provid$ on or 
aft] su* date4  #d4 ,modification (     
au?orization ( fiscal ye> #bjjh major   
m$ical facility project at ,dep>tm5t    
m$ical c5t] 9 ,tampa1 ,florida ,9 *apt] 
#c ( ! ,supplem5tal ,appropriations     
,act1 #bjjh 7,public ,law #aaj-beb2 #abb
 ,/at4 #bcbf71 9 ! matt] "u ! head+     
,dep>tm5t ( ,vet]ans                    
,affairs-,dep>tm5tal                    
,adm9i/ration-,con/ruction1 ,major      
,projects1 aft] ,five ,ye> ,capital     
,plan ins]t ! foll[+3 & = con/ruct+ a   
new b$ t[] at ! ,dep>tm5t ( ,vet]ans    
,affairs m$ical c5t] 9 ,tampa1 ,florida1
 9 lieu ( provid+ b$ t[] upgrades at su*
 m$ical c5t]4  #e4 ,au?orization (      
fiscal ye> #bjae major m$ical facility  
projects  7a7 ,au?orization ,! ,secret>y
 ( ,vet]ans ,affairs may c>ry out !     
foll[+ major m$ical facility projects 9 
fiscal ye> #bjae1 ) ea* project to be   
c>ri$ out 9 an am\nt n to exce$ ! am\nt 
specifi$ = t project3  7#a7 ,con/ruction

 ( a community liv+ c5t]1 outpati5t     
cl9ic1 r5ovat$ domicili>y1 & r5ovation (
 exi/+ build+s 9 ,can&aigua1 ,new ,york1
 9 an am\nt n to exce$ #aeh1ihj1jjj4    
7#b7 ,seismic corrections to ! m5tal    
heal? & community liv+ c5t] 9 ,long     
,bea*1 ,cali=nia1 9 an am\nt n to exce$ 
#abf1ajj1jjj4  7#c7 ,seismic correction 
( #ab build+s 9 ,we/ ,los ,angeles1     
,cali=nia1 9 an am\nt n to exce$        
#gj1ejj1jjj4  7#d7 ,con/ruction ( a     
sp9al cord injury build+ & seismic      
corrections 9 ,san ,diego1 ,cali=nia1 9 
an am\nt n to exce$ #bje1hdj1jjj4  7b7  
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to !         
,secret>y ( ,vet]ans ,affairs = fiscal  
ye> #bjae or ! ye> 9 :i* funds are      
appropriat$ = ! ,con/ruction1 ,major    
,projects1 acc\nt1 a total (            
#efa1dbj1jjj = ! projects au?oriz$ 9    
subsection 7a74  #f4 ,p]man5t au?ority =
 exp&$ availability ( hospital c>e &    
m$ical s]vices = vet]ans ?r\gh ! use (  
agreem5ts ) non-,dep>tm5t ( ,vet]ans    

,affairs entities  7a7 ,9 g5]al ,section
 #aja ( ! ,vet]ans ,access1 ,*oice1 &   
,acc\ntability ,act ( #bjad 7,public    
,law #aac-adf2 #ch ,u4,s4,c4 #agja note7
 is am5d$--  7#a7 by /rik+ subsection   
7p72 &  7#b7 by r$esignat+ subsections  
7q7 ?r\gh 7s7 z subsections 7p7 ?r\gh   
7r71 respectively4  7b7 ,con=m+ am5dm5ts
 ,su* section is fur!r am5d$-- 7#a7 9   
subsection 7i77#b71 by /rik+ is au?oriz$
 to c>ry out ?is section pursuant to    
subsection 7p7 & ins]t+ c>ries out ?is  
section2 &  7#b7 9 subsection 7q77#b71  
by /rik+ subp>agraph 7,f74  #g4 ,s5se ( 
,congress reg>d+ ,vet]ans ,*oice ,fund  
,section #hjb7;e7 ( ! ,vet]ans ,access1 
,*oice1 & ,acc\ntability ,act ( #bjad   
7,public ,law #aac-adf2 #abh ,/at4      
#ahjc7 is am5d$ by /rik+ = ea* ( fiscal 
ye>s #bjae ?r\gh #bjag4